Clinical Reimbursement Coordinator - LPN

Overview: We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The MDS Coordinator is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations. Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. This will involve collaboration with the center interdisciplinary team.
Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
Communicate with the Business Office Manager regarding case-mix data required for billing.
Educate the interdisciplinary team on case-mix and the nursing staff in terminology, language, and format that is required by MDS Qualifications:

Must be a graduate of an accredited School of Nursing with current LPN licensure in the state of employment.

One year of long-term care clinical nursing experience is required.

Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.

Must maintain current BLS/CPR certification.

Benefits:

Variable compensation plans
Tuition, Travel, and Wireless Service Discounts
Employee Assistance Program to support mental health
Employee Foundation to financially assist through unforeseen hardships
Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

On-Demand Pay Program that allows for instant access to a portion of the money you've already earned

We also offer several voluntary insurances such as:
Pet Insurance
Term and Whole Life Insurance
Short-term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $33.00 - USD $38.00 /Hr.